FIELD OF THE INVENTION
[0001] The present disclosure relates to compositions and methods of making 6-alkoxyalkyl
Estradiol compounds with the general formula (I) and in particular of compounds (R
or S) 6 hydroxymethyl- or (R or S) 6-methyloxymethyl- (8 R or S, 9S, 13 R or S, 14S,
17 R or S) -13-methyl-7,8,9,11,12,14,15,16,17-decehydrocylopenta [a] phenantherene-3,
17-diol and their pharmaceutically acceptable salts, or prodrugs thereof. The present
disclosure also pertains to pharmaceutical compositions comprising such compounds,
both in vitro and in vivo, for both diagnostic applications and treatment of proliferative
conditions, such as cancer.

BACKGROUND OF THE INVENTION
[0002] Proliferative cell disorders such as tumors and primary malignant tumors {herein,
cancer(s)} in particular are problematic given their tendency to invade surrounding
tissues and metastasize to distant organs in the body. To date, the most frequently
used methods for treating neoplasia, especially solid tumor forms of neoplasia, include
surgical procedures, radiation therapy, drug therapies, and combinations of the foregoing.
[0003] With over million cases of cancer being diagnosed annually, and cancer claiming more
than half a million lives in the United States each year, there is increased need
in new therapeutic modalities against such condition. Prostate, lung and colorectal
remains the most common cancer among men; while breast, colorectal and lung cancers
are the most common cancers among women.
[0004] In recent years, there have been significant gains in the management of these conditions.
At least one of the success stories in the clinical management of a cancer is the
early diagnosis and treatment options now available for primary breast cancer. The
introduction of effective and nontoxic anti-estrogen agents that block the actions
of estrogen has been shown effective.
[0005] Tamoxifen is primarily one of the first selective estrogen receptor modulators that
have become first-line therapy for hormonal treatment of breast cancer, both for adjuvant
treatment and for therapy of metastatic disease. Tamoxifen is a competitive inhibitor
of estrodiol binding to the estrogen receptor inhibiting its estrogen binding to the
estrogen binding element on DNA. In addition, there has been an increased interest
in the use of aromatase inhibitors to block specifically the local production of estrogens
that may contribute substantially to hormone responsive disease such as breast cancer.
Aromatase(CYP19) is described as the principal enzyme that converts androgens to estrogens
both in pre- and postmenopausal women. Estrogen deprivation through aromatase inhibition
is described as an effective and selective treatment for some postmenopausal patients
with hormone-dependent breast cancer. Exemestane (which is sold as Aromasin, is chemically
described as 6-methylenandrosta-1,4-diene-3,17-dione)and acts as an irreversible,
steroidal aromatase inactivator. It is believed to act as a false substrate for the
aromatase enzyme, and processed to an intermediate that binds irreversibly to the
active site of the enzyme causing its inactivation.
U.S. Patent Nos. 4,808,616, and
4,904,650, disclose 6-alkylidenandrosta-1,4-diene-3,17-dione derivatives, such as exemestane,
and methods of making them.
U.S. Patent No. 4,876,045 discloses a method of preparing 6-methylene derivatives of androsta-1,4-diene-3,17-diones.
U.S. Patent No. 4,990,635 discloses a process for making 6-methylene derivatives of androsta-1,4-diene-3,17-diones.
[0006] The preparation of intermediates that may be useful in preparing exemestane is disclosed
in
U.S. Patent No. 3,274,176. In German patent
DD 258820, 6-hydroxymethyl-androsta-1,4-diene-3,17-dione is prepared from androsta-1,4-diene-3,17-dione
via 1,3-dipyrrolidinoandrosta-3,5-dien-17-one.
[0009] A tri-hydroxyl substituted derivative of estranes is disclosed in
U.S. Patent No. 3,377,363 to Tadanier et. al, and the 3 hydroxy substituent on the aromatic ring of the present compounds
is not disclosed.
[0010] U.S. Patent No. 5,914,324 to De Funari et.al, discloses 6 hydroxy and oxy androstane derivatives for hypertension and heart
failure.
U.S. Patent 6,384,250 to Gobbini, et al., discloses the hydroxyl and ketone substituents at the 6 position in the preparation
of (E,Z) 3-(2-aminoethoxyimino)-androstane-6,17-dione. These compounds were directed
towards the treatment of heart failure. The effects of alkyl hydroxyl substitution
at the 6 position is not disclosed.
SUMMARY OF THE INVENTION
[0013] In light of the foregoing, the present invention is directed towards chemotherapeutic
compounds, compositions and their use and preparation, thereby overcoming various
deficiencies and shortcomings of the prior art, including those outlined above.
[0014] An aspect of the present invention pertains to a compound of Formula I.
wherein R1, R2, R3, R4, R6, R7, and R9 are independently hydrogen, C1 to C6 alkyl or substituted alkyl, halogen, sulfate, or glucuronide moieties; and the ---- symbol represents either a single or a double bond and when the-symbol is a double
bond and forms a keto group at position 17, then no R6 is present; R5 is C1 to C6 alkyl or substituted alkyl;
and the

symbol represents any type of bond regardless of the stereochemistry. The compounds
also embrace the enantiomers, other stereochemical isomers, hydrates, solvates, tautomers
and pharmaceutically acceptable salts thereof.
[0015] The present invention relates to a compound of the invention for use in the treatment
of cancer in a mammalian subject (e.g., a human patient). In this aspect of the invention,
compounds are provided for inhibiting tumor or cancerous cell growth within the mammalian
subject. The cells are exposed to or contacted with a compound of Formula (I) or pharmaceutically
acceptable enantiomers, other stereochemical isomers, hydrates, solvates, tautomers,
or salts thereof, as shown herein. In a specific, non-limiting embodiment of the present
invention, a compound of Formula (I) is used to therapeutically treat an identified
cancer state as described herein. In another specific non-limiting embodiment of the
present invention, a composition comprising a compound of Formula (I) is used to therapeutically
treat an identified cancer state as described herein.
[0016] The compounds of the present invention may be used to treat any tumor which may be
either directly or indirectly effected by hormonal and/or estrogen-related activity,
including but not in any way limited to solid tumors associated with breast, pancreatic,
lung, colon, prostate, ovarian cancers, as well as brain, liver, spleen, kidney, lymph
node, small intestine, blood cells, bone, stomach, endometrium, testicular, ovary,
central nervous system, skin, head and neck, esophagus, or bone marrow cancer; as
well as hematological cancers, such as leukemia, acute promyelocytic leukemia, lymphoma,
multiple myeloma, myelodysplasia, myeloproliferative disease, or refractory anemia.
[0017] The compounds of the present invention may also be used in combination-based therapeutic
cancer treatments in a mammalian subject. Such methods may comprise administration
of a compound of Formula (I) in combination with other adjunct cancer therapies, such
as chemotherapy, radiotherapy, gene therapy, hormone therapy and other cancer therapies
known in the art.
[0018] In the methods of treatment of the present invention, the term "administering" shall
encompass the treatment of the various conditions described with the compound specifically
disclosed or with a compound which may not be specifically disclosed, but which converts
to the specified compound
in vivo after administration to the patient and exhibits therapeutic activity.
[0019] Also described is the inhibition of growth of cancer cells comprising providing to
a patient a prodrug of Formula (III) wherein R
5 is a methyl or hydrogen;

and forming metabolites of formula (IV), (V), (VI), (VII), and (VIII) wherein any
of R
3, R
4, R
5, R
7, R
8 may be methyl or hydrogen. Such metabolites could include for example the structures
shown below:

[0020] Other objects, features, benefits and advantages of the present invention will be
apparent from this summary and the following descriptions of certain embodiments,
and will be readily apparent to those skilled in the art having knowledge of various
chemotherapeutic compounds, methods and/or modes of operation.
BRIEF DESCRIPTION OF THE DRAWINGS
[0021]
Figure 1- shows the Estradiol biosynthetic pathway.
Figure 2- shows a predicted metabolic pathway for the present compounds.
Figure 3- shows the effect of NDC-1011, NDC-1022, NDC-1033, NDC-1044, NDC-1055 and
NDC-1066 on estrogen receptor beta (ER-β) activity as measured by luciferase expression
(RLU = relative light units). CV-1 cells were transfected with two plasmid constructs,
the reporter construct ERE-tk-luciferase and a CMV-ER-β contruct. Transfected control
(Ctrl) CV-1 cells received no treatment while estradiol treated cells (E2) received
estradiol added alone at 10-9 M (1 nM). In the case of NDC compounds, each compound respectively was either added
alone at 10-8 M (10 nM) (as evident in the left column for each test compound) or at 10-8 M plus 10-9 M estradiol (E2) (as evident in the right column for each test compound).
Figure 4 shows the effect of NDC-1011, NDC-1033, NDC-1055 and NDC-1066 on estrogen
receptor alpha (ER-α) activity as measured by luciferase expression (RLU = relative
light units). CV-1 cells were transfected with two plasmid constructs, the reporter
construct ERE-tk-luciferase and a CMV-ER-α contruct. Transfected control (Ctrl) CV-1
cells received no treatment while estradiol (E2) was added alone at 10-9 M (1 nM). In the case of NDC compounds, each compound respectively was either added
alone at 10-8 M (10 nM) (as evident in the left column for each test compound) or at 10-8 M plus 10-9 M estradiol (E2) (as evident in the right column for each test compound).
Figure 5 shows IC50 growth inhibition data (in µM) for NDC-1022 (left columns), NDC-1033 (middle columns)
and NDC-1044 (right columns) as determined in each of the cell lines HT-29, SK-OV-3,
NCI-H23, MCF-7, MDA-MB-231, OVCAR-3, CAPAN-1, CAPAN-2, SH-SY5Y, A-549 and PC-3.
Figure 6 shows numerical IC50 growth inhibition data (in µM) for NDC-1022, NDC-1033 and NDC-1044 as determined
in each of the cell lines HT-29, SK-OV-3, NCI-H23, MCF-7, MDA-MB-231, OVCAR-3, CAPAN-1,
CAPAN-2, SH-SY5Y, A-549 and PC-3.
DETAILED DESCRIPTION OF THE INVENTION
[0022] Unless defined otherwise, all technical and scientific terms used herein have the
same meaning as is commonly understood by one of skill in the art to which this invention
belongs and shall be understood to have the meanings described below. Unless otherwise
specified, a reference to a particular compound includes all such isomeric forms,
including racemic and other mixtures thereof. Unless otherwise specified, a reference
to a particular compound also includes ionic, salt, solvate (e.g., hydrate), protected
forms, prodrugs, and other stereoisomers thereof, for example, as discussed herein.
[0023] It may be convenient or desirable to prepare, purify, and/or handle a corresponding
salt of the active compound, for example, a pharmaceutically-acceptable salt. Examples
of pharmaceutically acceptable salts are discussed in
Berge et al., 1977, "Pharmaceutically Acceptable Salts," J. Pharm. Sci., Vol. 66,
pp. 1-19, and discussed herein.
[0024] Anti-proliferative compounds of the present invention have application in the treatment
of cancer, and so the present invention further provides anti-cancer agents. The term
"anti-cancer agent" as used herein, pertains to a compound which treats a cancer (i.e.,
a compound which is useful in the treatment of a cancer). The anti-cancer effect may
arise through one or more mechanisms, including but not limited to, the regulation
of cell proliferation, the inhibition of angiogenesis (the formation of new blood
vessels), the inhibition of metastasis (the spread of a tumor from its origin), the
inhibition of invasion (the spread of tumor cells into neighboring normal structures),
or the promotion of apoptosis (programmed cell death).
[0025] The invention further provides active compounds for use in treatment of the human
or animal body by therapy. Such treatment may comprise administering to such a subject
a therapeutically-effective amount of an active compound, preferably in the form of
a pharmaceutical composition as discussed further herein.
[0026] The term "treatment," or "therapy" as used herein in the context of treating a condition,
pertains generally to treatment and therapy of a mammalian subject, whether of a human
or a non-human animal (e.g., in veterinary applications), in which some desired therapeutic
effect is achieved, for example, the inhibition of the progress of the condition,
and includes a reduction in the rate of progress, a halt in the rate of progress,
amelioration of the condition, and/or cure of the condition. Treatment as a prophylactic
measure is also included. Treatment includes combination treatments and therapies,
in which two or more treatments or therapies are combined, for example, sequentially
or simultaneously. Examples of treatments and therapies include, but are not limited
to, chemotherapy (the administration of active agents, including, e.g., drugs, antibodies
(e.g., as in immunotherapy), prodrugs (e.g., employing protecting groups including
phosphoric acid derivatives and phosphinates at suitable positions such as position
3 or 17, other compounds used for photodynamic therapy, GDEPT, ADEPT, etc.); surgery;
radiation therapy; and gene therapy.
[0027] The term "stereochemical isomer" as used herein, refers to isomers that differ from
each other only in the way the atoms are oriented in space. The two stereoisomers
particularly of importance in the instant invention are enantiomers and diastereomers
depending on whether or not the two isomers are mirror images of each other. In the
preferred embodiment, the claimed formulations comprise such compounds that isolated,
resolved and are "substantially free of other isomers."
[0028] The term "therapeutically-effective amount," as used herein, pertains to that amount
of an active compound, or a material, composition or dosage form comprising an active
compound, which is effective for producing some desired therapeutic effect, commensurate
with a reasonable benefit/risk ratio.
[0029] The term "patient" refers to animals, including mammals, preferably humans.
[0030] The term "region of a patient" refers to a particular area or portion of the patient
afflicted with a proliferative disorder, cancer or tumor and in some instances to
regions throughout the entire patient. Exemplary of such regions are the pulmonary
region, the gastrointestinal region, the breast region, the renal region as well as
other bodily regions, tissues, lymphocytes, receptors, organs and the like, including
the vasculature and circulatory system, and cancerous tissue. "region of a patient"
includes, for example, regions to be treated with the disclosed compounds and compositions.
The "region of a patient" is preferably internal, although it may be external.
[0031] The term "tissue" refers generally to specialized cells which may perform a particular
function. The term "tissue" may refer to an individual cell or a plurality or aggregate
of cells, for example, membranes, blood or organs. The term "tissue" also includes
reference to an abnormal cell or a plurality of abnormal cells. Exemplary tissues
include breast tissue, including breast cells, membranous tissues, including endothelium
and epithelium, laminae, connective tissue, including interstitial tissue, and tumors.
Compounds
[0032] The present invention is directed to a chemotherapeutic compound of Formula (I):
wherein R1, R2, R3, R4, R6, R7, and R9 are independently hydrogen, C1 to C6 alkyl or substituted alkyl, halogen, sulfate, or glucuronide moieties; and the ---- symbol represents either a single or a double bond and when the-- symbol is a double bond and forms a keto group at position 17, then no R6 is present; R5 is C1 to C6 alkyl or substituted alkyl;
and the

symbol represents any type of bond regardless of the stereochemistry. The compounds
also embrace the enantiomers, other stereochemical isomers, hydrates, solvates, tautomers
and pharmaceutically acceptable salts thereof.
[0033] In an embodiment of Formula I, R
5, R
6, R
7, R
9 are hydrogen atoms, methyl or Cl; R
1, R
2 is hydrogen or methyl; R
3, R
4 is C
1 to about C
6 alkyl or substituted alkyl, halogen andis a single bond corresponding to the alcohol
group. In an another embodiment the stereochemistry at the C-6 carbon comprises a
S or R enantiomer or diastereomers.
[0034] Embodiment compounds of the present invention can be used in a pharmaceutical composition.
Such a composition can comprise one or more compounds selected from those discussed
above, illustrated below or otherwise inferred herein, and combinations thereof. In
certain embodiments, such a composition can comprise a pharmaceutically-acceptable
carrier component. Without limitation, such a composition can comprise a racemic mixture
of compounds. In certain embodiments, such a compound can be present as the S and
R enantiomer, preferably their isolated and purified form which is substantially free
of other isomers, and R
5, or R
7 can be selected from H, C
1 to C
6 alkyl or substituted alkyl, and a halogen.
[0035] The compounds of the present invention may have asymmetric centers and may occur
as racemate, racemic mixture or as individual diastereomers or enantiomers such as
(S)6-methyloxymethyl(8S, 9S, 13S, 14S, 17S) -13-methyl-7,8,9,11,12,14,15,16,17 -decehydrocylopenta
[a] phenantherene-3, 17-diol; (R)6-methyloxymethyl(8S, 9S, 13S, 14S, 17R) -13-methyl-
7,8,9,11,12,14,15,16,17-decehydrocylopenta [a] phenantherene-3, 17-diol; (R)6-methyloxymethyl(8R,
9S, 13R, 14S, 17R) -13-methyl-7,8,9,11,12,14,15,16,17-decehydrocylopenta [a] phenantherene-3,
17-diol (NDC-1022); or (S)6-methyloxymethyl(8R, 9S, 13R, 14S, 17R) -13-methyl-7,8,9,11,12,14,15,16,17-decehydrocylopenta
[a] phenantherene-3, 17-diol (NDC-1033).
[0036] Also described herein is the
preparation of the R or S enantiomers, R or S diastereomers of 6 substituted estradiols.
Methods for the preparation (e.g., asymmetric synthesis) and separation (e.g., fractional
crystallization and chromatographic means) of such isomeric forms are either generally
known in the art or are readily obtained by adapting the methods taught herein. One
such methodologies are described in the co-pending
U.S. application SN 11/541,987.
[0037] Also described herein is a method for preparing a 6-hydroxymethyl or 6-methyloxymethyl
derivative of estradiol. A reaction scheme for preparing estradiol derivatives is
given below, Scheme 1. Such a method can comprise reaction of t-butyldimethylsilyl
derivative of estradiol with LIDAKOR/THF/formaldehyde to obtain a 6-hydroxylated compound
followed by such steps as:
- (i) hydrolysis to obtain 6-hydroxymethyl derivative of estradiol, NDC-1066; and/or
(ii)treatment with dimethylsulfate followed by hydrolysis to obtain 6-methyloxymethyl
derivative of estradiol, NDC-1033. NDC-1088 can be obtained by further oxidation of
NDC-1033 at the C-17 hydroxyl position.
[0038] In an alternative approach, the compounds of the present invention can also be prepared
by a method comprising such steps as: (i) protecting an estrodial compound, (ii) acylating
the protected estradiol compound at the benzylic 6-position with LIDAKOR/ButylLithium/Diisopropylamine/potassium
tert-amylate, (iii) reducing the position 6 aldehyde with lithium aluminum hydride,
(iv) deprotecting the protected regions of the estrodial compound. A reaction scheme
for preparing estradiol derivatives is given below in Scheme 2.
[0039] The compounds of the present invention can be synthesized by the following methods
as depicted in the schemes below:

[0040] Various methyloxyalkyl derivatives, in accordance with this invention, are limited
only by choice of alkylating agent, such derivatives as would be understood by those
skilled in art made aware of this invention, as available through synthetic procedures
of the sort described herein or straight-forward modifications thereof, such modifications
as would also be understood by those skilled in the art. Accordingly, without limitation,
various C
1 to C
6 alkyl and substituted alkyl (e.g., C
1 to C
6 linear, substituted linear, branched and substituted branched alkyl, such substituents
as would be understood in the art) reagents can be used as described herein to prepare
the corresponding methyloxyalkyl derivatives.
[0041] The present invention relates to a compound of the invention for use in the treatment
of cancer in a mammalian subject (e.g., a human patient). In this aspect of the invention,
compounds are provided for inhibiting tumor or cancerous cell growth. In such aspects,
the cells are exposed to or contacted with a compound of Formula (I) or pharmaceutically
acceptable salts or hydrates thereof:
wherein R1, R2, R3, R4, R6, R7, and R9 are independently hydrogen, C1 to C6 alkyl or substituted alkyl, halogen, sulfate, or glucuronide moieties; and the ---- symbol represents either a single or a double bond and when the-- symbol is a double bond and forms a keto group at position 17, then no R6 is present; R5 is C1 to C6 alkyl or substituted alkyl;
and the

symbol represents any type of bond regardless of the stereochemistry. The compounds
also embrace the enantiomers, other stereochemical isomers, hydrates, solvates, tautomers
and pharmaceutically acceptable salts thereof.
[0042] These compounds may be used to treat any tumor which may be either directly or indirectly
effected by hormonal and/or estrogen-related activity, including but not in any way
limited to solid tumors associated with breast, pancreatic, lung, colon, prostate,
ovarian cancers, as well as brain, liver, spleen, kidney, lymph node, small intestine,
blood cells, bone, stomach, endometrium, testicular, ovary, central nervous system,
skin, head and neck, esophagus, or bone marrow cancer; as well as hematological cancers,
such as leukemia, acute promyelocytic leukemia, lymphoma, multiple myeloma, myelodysplasia,
myeloproliferative disease, or refractory anemia.
[0043] In addition, administration of the compounds of the present invention for treatment
of various cancer states may comprise administration of a compound of Formula (I)
in combination with other adjunct cancer therapies, such as chemotherapy, radiotherapy,
gene therapy, hormone therapy and other cancer therapies known in the art. Combinations
of the presently disclosed compounds with other anti-cancer or chemotherapeutic agents
are within the scope of the invention. Examples of such agents can be found in
Cancer Principles and Practice of Oncology by V. T. Devita and S. Hellman (editors),
6th edition (Feb. 15, 2001), Lippincott Williams & Wilkins Publishers. A physician, veterinarian or clinician of ordinary skill in the art would be able
to discern which combinations of agents would be useful based on the particular characteristics
of the drugs and the cancer involved. Such anti-cancer agents include the following:
estrogen receptor modulators, androgen receptor modulators, retinoid receptor modulators,
cytotoxic agents, anti-proliferative agents, prenyl-protein transferase inhibitors,
HMG-CoA reductase inhibitors, EHV protease inhibitors, reverse transcriptase inhibitors,
aromatase inhibitors, and angiogenesis inhibitors.
[0044] Compounds of the present disclosure are illustrated in table I below:
Table I
| R1, R2, R3, R4: independently H, C1-C6 alkyl, substituted alkyl, or halogen |
| R7: H, C1-C6 alkyl, substituted alkyl, sulfate, or glucuronide |
| R6: H, C1-C6 alkyl, or substituted alkyl, sulfate, or glucuronide, when --- is a single bound; not present, when --- is a double bond R5 is C1 to C6 alkyl or substituted alkyl; |
| |
Substituents |
Spatial Configuration |
| Entry |
R5 |
R6 |
R7 |
C-6 |
C-8 |
C-9 |
C-13 |
C-14 |
C-17 |
| 1 |
H |
H |
H |
S |
S |
S |
S |
S |
S |
| 2 |
H |
H |
H |
S |
R |
R |
R |
R |
R |
| 3 |
H |
H |
H |
S |
S |
S |
S |
S |
R |
| 4 |
H |
H |
H |
S |
R |
R |
R |
R |
S |
| 5 |
H |
- |
H |
S |
S |
S |
S |
S |
C=O |
| 6 |
H |
- |
H |
S |
R |
R |
R |
R |
C=O |
| 7 |
H |
H |
H |
R |
R |
R |
R |
R |
R |
| 8 |
H |
H |
H |
R |
S |
S |
S |
S |
S |
| 9 |
H |
H |
H |
R |
S |
S |
S |
S |
R |
| 10 |
H |
H |
H |
R |
R |
R |
R |
R |
S |
| 11 |
H |
- |
H |
R |
S |
S |
S |
S |
C=O |
| 12 |
H |
- |
H |
R |
R |
R |
R |
R |
C=O |
| 13 |
Me |
H |
H |
S |
S |
S |
S |
S |
S |
| 14 |
Me |
H |
H |
S |
R |
R |
R |
R |
R |
| 15* |
Me |
H |
H |
S |
R |
S |
R |
S |
R |
| 16 |
Me |
H |
H |
S |
R |
R |
R |
R |
S |
| 17 |
Me |
- |
H |
S |
S |
S |
S |
S |
C=O |
| 18 |
Me |
- |
H |
S |
R |
R |
R |
R |
C=O |
| 19 |
Me |
H |
H |
R |
R |
R |
R |
R |
R |
| 20** |
Me |
H |
H |
R |
R |
S |
R |
S |
R |
| 21 |
Me |
H |
H |
R |
S |
S |
S |
S |
R |
| 22 |
Me |
H |
H |
R |
R |
R |
R |
R |
S |
| 23 |
Me |
- |
H |
R |
S |
S |
S |
S |
C=O |
| 24 |
Me |
- |
H |
R |
R |
R |
R |
R |
C=O |
| 25 |
H |
H |
SO3H |
S |
S |
S |
S |
S |
S |
| 26 |
H |
H |
SO3H |
S |
R |
R |
R |
R |
R |
| 27 |
H |
H |
SO3H |
S |
S |
S |
S |
S |
R |
| 28 |
H |
H |
SO3H |
S |
R |
R |
R |
R |
S |
| 29 |
H |
- |
SO3H |
S |
S |
S |
S |
S |
C=O |
| 30 |
H |
- |
SO3H |
S |
R |
R |
R |
R |
C=O |
| 31 |
H |
H |
SO3H |
R |
R |
R |
R |
R |
R |
| 32 |
H |
H |
SO3H |
R |
S |
S |
S |
S |
S |
| 33 |
H |
H |
SO3H |
R |
S |
S |
S |
S |
R |
| 34 |
H |
H |
SO3H |
R |
R |
R |
R |
R |
S |
| 35 |
H |
- |
SO3H |
R |
S |
S |
S |
S |
C=O |
| 36 |
H |
- |
SO3H |
R |
R |
R |
R |
R |
C=O |
| 37 |
Me |
H |
SO3H |
S |
S |
S |
S |
S |
S |
| 38 |
Me |
H |
SO3H |
S |
R |
R |
R |
R |
R |
| 39 |
Me |
H |
SO3H |
S |
S |
S |
S |
S |
R |
| 40 |
Me |
H |
SO3H |
S |
R |
R |
R |
R |
S |
| 41 |
Me |
- |
SO3H |
S |
S |
S |
S |
S |
C=O |
| 42 |
Me |
- |
SO3H |
S |
R |
R |
R |
R |
C=O |
| 43 |
Me |
H |
SO3H |
R |
R |
R |
R |
R |
R |
| 44 |
Me |
H |
SO3H |
R |
S |
S |
S |
S |
S |
| 45 |
Me |
H |
SO3H |
R |
S |
S |
S |
S |
R |
| 46 |
Me |
H |
SO3H |
R |
R |
R |
R |
R |
S |
| 47 |
Me |
- |
SO3H |
R |
S |
S |
S |
S |
C=O |
| 48 |
Me |
- |
SO3H |
R |
R |
R |
R |
R |
C=O |
| 49 |
H |
H |
glucuronide |
S |
S |
S |
S |
S |
S |
| 50 |
H |
H |
glucuronide |
S |
R |
R |
R |
R |
R |
| 51 |
H |
H |
glucuronide |
S |
S |
S |
S |
S |
R |
| 52 |
H |
H |
glucuronide |
S |
R |
R |
R |
R |
S |
| 53 |
H |
- |
glucuronide |
S |
S |
S |
S |
S |
C=O |
| 54 |
H |
- |
glucuronide |
S |
R |
R |
R |
R |
C=O |
| 55 |
H |
H |
glucuronide |
R |
R |
R |
R |
R |
R |
| 56 |
H |
H |
glucuronide |
R |
S |
S |
S |
S |
S |
| 57 |
H |
H |
glucuronide |
R |
S |
S |
S |
S |
R |
| 58 |
H |
H |
glucuronide |
R |
R |
R |
R |
R |
S |
| 59 |
H |
- |
glucuronide |
R |
S |
S |
S |
S |
C=O |
| 60 |
H |
- |
glucuronide |
R |
R |
R |
R |
R |
C=O |
| 61 |
Me |
H |
glucuronide |
S |
S |
S |
S |
S |
S |
| 62 |
Me |
H |
glucuronide |
S |
R |
R |
R |
R |
R |
| 63 |
Me |
H |
glucuronide |
S |
S |
S |
S |
S |
R |
| 64 |
Me |
H |
glucuronide |
S |
R |
R |
R |
R |
S |
| 65 |
Me |
- |
glucuronide |
S |
S |
S |
S |
S |
C=O |
| 66 |
Me |
- |
glucuronide |
S |
R |
R |
R |
R |
C=O |
| 67 |
Me |
H |
glucuronide |
R |
R |
R |
R |
R |
R |
| 68 |
Me |
H |
glucuronide |
R |
S |
S |
S |
S |
S |
| 69 |
Me |
H |
glucuronide |
R |
S |
S |
S |
S |
R |
| 70 |
Me |
H |
glucuronide |
R |
R |
R |
R |
R |
S |
| 71 |
Me |
- |
glucuronide |
R |
S |
S |
S |
S |
C=O |
| 72 |
Me |
- |
glucuronide |
R |
R |
R |
R |
R |
C=O |
[0045] The preferred compounds in Table I include compounds 15 and 20. At least one aspect
of the instant invention is directed to these preferred compound, and their use.
[0046] Also described are comparative compounds in table II below:
Table II
| R1, R2, R3, R4: independently H, C1-C6 alkyl, substituted alkyl, or halogen |
| R5: H, C1-C6 alkyl, substituted alkyl, sulfate, or glucuronide |
| R6: H, C1-C6 alkyl, or substituted alkyl, sulfate, or glucuronide, |
| R8: H, C1-C6 alkyl, or substituted alkyl, when --- is a single bond; not present, when --- is a double bond |
| |
Substituent |
Spatial Configuration |
| Entry |
R5 |
R6 |
C-6 |
C-8 |
C-9 |
C-10 |
C-13 |
C-14 |
C-17 |
| 73 |
H |
H |
S |
S |
S |
R |
S |
S |
S |
| 74 |
H |
H |
S |
R |
R |
R |
R |
R |
R |
| 75 |
H |
H |
S |
S |
S |
R |
S |
S |
R |
| 76 |
H |
H |
S |
R |
R |
R |
R |
R |
S |
| 77 |
H |
- |
S |
S |
S |
R |
S |
S |
C=O |
| 78 |
H |
- |
S |
R |
R |
R |
R |
R |
C=O |
| 79 |
H |
H |
R |
R |
R |
R |
R |
R |
R |
| 80 |
H |
H |
R |
S |
S |
R |
S |
S |
S |
| 81 |
H |
H |
R |
S |
S |
R |
S |
S |
R |
| 82 |
H |
H |
R |
R |
R |
R |
R |
R |
S |
| 83 |
H |
- |
R |
S |
S |
R |
S |
S |
C=O |
| 84 |
H |
- |
R |
R |
R |
R |
R |
R |
C=O |
| 85 |
Me |
H |
S |
S |
S |
R |
S |
S |
S |
| 86 |
Me |
H |
S |
R |
R |
R |
R |
R |
R |
| 87 |
Me |
H |
S |
S |
S |
R |
S |
S |
R |
| 88 |
Me |
H |
S |
R |
R |
R |
R |
R |
S |
| 89* |
Me |
- |
S |
R |
S |
R |
R |
S |
C=O |
| 90** |
Me |
- |
R |
R |
S |
R |
R |
S |
C=O |
| 91 |
Me |
H |
R |
R |
R |
R |
R |
R |
R |
| 92 |
Me |
H |
S |
S |
S |
R |
S |
S |
S |
| 93 |
Me |
H |
S |
R |
R |
R |
R |
R |
R |
| 94 |
Me |
H |
S |
S |
S |
R |
S |
S |
R |
| 95 |
Me |
H |
S |
R |
R |
R |
R |
R |
S |
| 96 |
Me |
- |
R |
R |
S |
- |
R |
S |
C=O |
| 97 |
Me |
- |
S |
R |
R |
R |
R |
R |
C=O |
| 98*** |
Me |
H |
S |
R |
S |
R |
R |
S |
R |
| 99 |
Me |
H |
R |
S |
S |
R |
S |
S |
S |
| 100 |
Me |
H |
R |
S |
S |
S |
S |
S |
R |
| 101 |
Me |
H |
R |
R |
R |
S |
R |
R |
S |
| 102 |
Me |
- |
R |
S |
S |
R |
S |
S |
C=O |
| 103 |
Me |
- |
R |
R |
R |
R |
R |
R |
C=O |
| 104 |
H |
H |
S |
S |
S |
R |
S |
S |
S |
| 105 |
H |
H |
S |
R |
R |
R |
R |
R |
R |
| 106 |
H |
H |
S |
S |
S |
R |
S |
S |
R |
| 107 |
H |
H |
S |
R |
R |
R |
R |
R |
S |
| 108 |
H |
- |
S |
S |
S |
R |
S |
S |
C=O |
| 109 |
H |
- |
S |
R |
R |
R |
R |
R |
C=O |
| 110 |
H |
H |
R |
R |
R |
R |
R |
R |
R |
| 111 |
H |
H |
R |
S |
S |
R |
S |
S |
S |
| 112 |
H |
H |
R |
S |
S |
R |
S |
S |
R |
| 113 |
H |
H |
R |
R |
R |
R |
R |
R |
S |
| 114 |
H |
- |
R |
S |
S |
R |
S |
S |
C=O |
| 115 |
H |
- |
R |
R |
R |
R |
R |
R |
C=O |
| 116 |
Me |
H |
S |
S |
S |
R |
S |
S |
S |
| 117 |
Me |
H |
S |
R |
R |
R |
R |
R |
R |
| 118 |
Me |
H |
S |
S |
S |
R |
S |
S |
R |
| 119 |
Me |
H |
S |
R |
R |
R |
R |
R |
S |
| 120 |
Me |
- |
S |
S |
S |
S |
S |
S |
C=O |
| 121 |
Me |
- |
S |
R |
R |
R |
R |
R |
C=O |
| 122 |
Me |
H |
R |
R |
R |
R |
R |
R |
R |
| 123 |
Me |
H |
R |
S |
S |
R |
S |
S |
S |
| 124 |
Me |
H |
R |
S |
S |
S |
S |
S |
R |
| 125 |
Me |
H |
R |
R |
R |
S |
R |
R |
S |
| 126 |
Me |
- |
R |
S |
S |
R |
S |
S |
C=O |
| 127 |
Me |
- |
R |
R |
R |
R |
R |
R |
C=O |
| 128**** |
Me |
H |
R |
R |
S |
R |
R |
S |
R |
| * NDC-1077, when R8 is a methyl; ** NDC-1011, when R8 is a methyl; *** NDC-1110, when R8 is a methyl; **** NDC-1044, when R8 is a methyl. |
[0047] One specific non-limiting example for treatment of an identified cancer state as
described herein includes use a compound of Formula (I), which has the Formula (IX)
below:

[0048] Another specific non-limiting example for treatment of an identified cancer state
as described herein includes use a compound of Formula (I), which has the Formula
(X), below:

[0049] The above active compounds may also be used as part of an
in vitro assay, for example, in order to determine whether a candidate host is likely to benefit
from treatment with the compound in question. Any active compound of the present invention
may also be used as a standard, for example, in an assay, in order to identify other
active compounds, other anti-proliferative agents, other antiinflammatory agents,
etc.
[0050] As also described herein, the candidate compounds were evaluated for their estrogen
receptor antagonistic activity. The evaluation as to whether a compound is an estrogen
receptor antagonist may be carried out by various methodologies known in the art.
In the instant application, such capacity was determined by conducting the Luciferase
binding assay according to the screening methods described herein.
[0051] In a more preferred aspect, the estrogen receptor binding capacity were assessed
by transiently transfecting CV-1 cells with expression constructs for either ER(a)
or ER (B) plus an ERE-tk-luciferase reporter construct. The cells were then divided
into controls and candidate groups wherein the controls received no treatment, or
were treated with estradiol alone (1 nM) and the candidate groups received estradiol
plus an Endece compound at varying concentrations. After 16-24 hours the cells were
harvested and assayed for luciferase activity using a commercially available assay
kit.
[0052] As also described herein, the IC
50 or the half maximal inhibitory concentration of the candidate compounds were determined
to assess drug potency and potential dosing regimens for in vivo use. One of ordinary
skill in the art is readily able to ascertain such information using commonly known
methodologies. As it has been well described in the art, IC
50 represents and measures how much of a particular substance/molecule is needed to
inhibit some biological process by 50%. In the instant case, the IC
50 of the candidate compounds were determined as the concentration that led to a response
of 50% compared to the vehicle control cells.
[0053] As noted herein, the salts of the compounds of this invention refer to non-toxic
"pharmaceutically acceptable salts." Other salts may, however, be useful in the preparation
of the compounds according to the invention or of their pharmaceutically acceptable
salts. When the compounds of the present invention contain a basic group, salts encompassed
within the term "pharmaceutically acceptable salts" refer to non-toxic salts which
are generally prepared by reacting the free base with a suitable organic or inorganic
acid. Representative salts include any such salt known in the art. Where compounds
of the present invention carry an acidic moiety, suitable pharmaceutically acceptable
salts thereof may include alkali metal salts, e.g., sodium or potassium salts; alkaline
earth metal salts, e.g., calcium or magnesium salts; and salts formed with suitable
organic ligands, e.g., quaternary ammonium salts.
[0054] To treat a mammalian subject, such as a human patient, an effective amount of one
or more compounds of the present invention, or a pharmaceutically-acceptable salt
thereof, is administered to the mammalian subject so as to promote exposure to or
contact of cancer cells or the targeted tumor growth. Effective dosage forms, modes
of administration and dosage amounts may be determined empirically, and making such
determinations is within the skill of the art. It is understood by the physician,
veterinarian or clinician of ordinary skill in the art that the dosage amount will
vary with the activity of the particular compound employed, course and/or progression
of the disease state, the route of administration, the rate of excretion of the compound,
renal and hepatic function of the patient, the duration of the treatment, the identity
of any other drugs being administered to the subject, age, size and like factors well
known in the medical arts. As discussed herein, the compounds of the present invention
can be administered in such oral dosage forms as tablets, capsules (each of which
includes sustained release or timed release formulations), pills, powders, micronized
compositions, granules, elixirs, tinctures, suspensions, syrups and emulsions. Likewise,
they may also be administered in intravenous (bolus or infusion), intraperitoneal,
topical (e.g., ocular eyedrop), subcutaneous, intramuscular or transdermal (e.g.,
patch) form, all using forms well known to those of ordinary skill in the pharmaceutical
arts. Again, the ordinarily skilled physician, veterinarian or clinician can readily
determine and prescribe the effective amount of the drug required to prevent, counter
or arrest the progress of the condition.
[0055] Oral dosages of the present invention, when used for the indicated effects, will
range between about 0.01 mg per kg of body weight per day (mg/kg/day) to about 100
mg/kg/day, preferably 0.01 to 10 mg/kg/day, and most preferably 0.1 to 5.0 mg/kg/day.
For oral administration, the compositions are preferably provided in the form of tablets
containing 0.01, 0.05, 0.1, 0.5, 1.0, 2.5, 5.0, 10.0, 15.0, 25.0, 50.0, 100 and 500
milligrams of the active ingredient for the symptomatic adjustment of the dosage to
the patient to be treated. A medicament typically contains from about 0.01 mg to about
500 mg of the active ingredient, preferably, from about 1 mg to about 100 mg of active
ingredient. Intravenously, the most preferred doses will range from about 0.1 to about
10 mg/kg/minute during a constant rate infusion. Compounds of the present invention
may be administered in a single daily dose, or the total daily dosage may be administered
in divided doses of two, three or four times daily.
[0056] As noted herein, the compounds of the present invention can be used in combination
with other anti-cancer agents or other agents which will enhance the treatment regime
for the mammalian subject. The individual components of such combinations can be administered
separately at different times during the course of therapy or concurrently in divided
or single combination forms to patients or regions of such patients in need of such
therapy. The instant invention is therefore to be understood as embracing all such
regimes of simultaneous or alternating treatment and the term "administering" is to
be interpreted accordingly. It will be understood that the scope of combinations of
the compounds of this invention with other agents useful to treat the targeted cancer
condition includes in principle any combination with any pharmaceutical composition
useful for treating disorders related to estrogen functioning.
[0057] As used herein, the term "composition" is intended to encompass a product comprising
the specified ingredients in the specified amounts, as well as any product which results,
directly or indirectly, from combination of the specified ingredients in the specified
amounts.
[0058] The (R) or (S)-6-methyloxoalkyl derivatives of exemestane suggest that it may be
active against numerous forms of cancer beyond breast cancer.

[0059] As with Estradiol, the diol compound NDC-1022 has an aromatic ring, but differs from
estradiol with respect to the methyloxyalkyl substituent at the C-6 carbon. The metabolism
of NDC-1011 into the diol compound NDC-1022 could occur in any order as shown in Figure
2. For example, NDC-1044 formed by 17β-HSD is converted to the NDC-1022 diol by CYP19
aromatization activity.
[0060] Without being bound to any theories, it has been reported that Estradiol binds to
the receptor ligand pocket of estrogen receptors (both ERα and ERβ), via the C17-OH
(via His 524); and the C3-OH (via Arg 394 and Glu 353). As with Estradiol, binding
of NDC-1022 diol in the same ligand pocket of ERα and ERβ via similar amino acid bindings
may occur. Additionally, the presence of the methyloxyalkyl substituent at the C-6
carbon of compound NDC-1022 may alter the conformation of the normal ligand-bound
receptor resulting in modified activity accounting for the observed anti-tumor activity.
[0061] In addition, demethylase enzyme activity directed at the C-6 methyl group of NDC-1011
(or one of the metabolites of NDC-1011), may indicate the formation of triol metabolite
NDC-1055. With alcohol groups at the C-3, C-6 and C-17 carbons, such an NDC-1055 triol
metabolite may bind to a broad spectrum of steroid receptors in a range of tissues
involving various combinations of the C-3, C-6 and C-17 alcohols. One example of such
metabolites includes the compound of Formula (VII)B as shown below:

[0062] Pharmaceutical formulations of the present invention include those suitable for oral,
nasal, topical (including buccal and sublingual), rectal, vaginal and/or parenteral
administration. Regardless of the route of administration selected, the active ingredient(s)
are formulated into pharmaceutically-acceptable dosage forms by conventional methods
known to those of skill in the art.
[0063] The amount of the active ingredient (s) which will be combined with a carrier material
to produce a single dosage form will vary depending upon the host being treated, the
particular mode of administration and all of the other factors described above. The
amount of the active ingredient(s) which will be combined with a carrier material
to produce a single dosage form will generally be that amount of the active ingredient(s)
which is the lowest dose effective to produce a therapeutic effect.
[0064] Methods of preparing pharmaceutical formulations or compositions include the step
of bringing the active ingredient(s) into association with the carrier and, optionally,
one or more accessory ingredients. In general, the formulations are prepared by uniformly
and intimately bringing the active ingredient(s) into association with liquid carriers,
or finely divided solid carriers, or both, and then, if necessary, shaping the product.
[0065] Formulations of the invention suitable for oral administration may be in the form
of capsules, cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose
and acacia or tragacanth), powders, granules, or as a solution or a suspension in
an aqueous or nonaqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion,
or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and
glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing
a predetermined amount of the active ingredient(s). The active ingredient(s) may also
be administered as a bolus, electuary or paste.
[0066] In solid dosage forms of the invention for oral administration (capsules, tablets,
pills, dragoes, powders, granules and the like), active ingredient(s) (in their micronized
form) is/are mixed with one or more pharmaceutically-acceptable carriers, such as
sodium citrate or dicalcium phosphate, and/or any of the following; (1) fillers or
extenders, Such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid;
(2) binders, Such as, for example, carboxymethyl-cellulose, alginates, gelatin, polyvinyl
pyrrolidone, sucrose and/or acacia; (3) humectants, Such as glycerol,; (4) disintegrating
agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid,
certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin;
(6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents,
such as, for example, cetyl alcohol and glycerol, monostearate; (8) absorbents, such
as kaolin and bentonite clay; (9) lubricants, such as talc, calcium stearate, magnesium
stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof;
and (10) colouring agents. In the case of capsules, tablets and pills, the pharmaceutical
compositions may also comprise buffering agents. Solid compositions of a similar type
may also be employed as fillers in soft and hard-filled gelatin capsules using such
excipients as lactose or milk sugars, as well as high molecular weight polyethylone
glycols and the like.
[0067] A tablet may be made by compression or molding, optionally, with one or more accessory
ingredients. Compressed tablets may be prepared using binder (for example, gelatin
or hydroxypropylmethyl cellulose), lubricant, inert diluents, preservative, disintegrant
(for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose),
surface-active or dispersing agent. Molded tablets may be made by molding in a suitable
machine a mixture of the powdered active ingredient(s) moistened with an inert liquid
diluent.
[0068] The tablets, and other solid dosage forms of the pharmaceutical compositions of the
present invention, such as dragees, capsules, pills and granules, may optionally be
scored or prepared with coatings and shells, such as enteric coatings and other coatings
well known in the pharmaceutical-formulating art. They may also be formulated so as
to provide slow or controlled release of the active ingredient(s) therein using, for
example, hydroxypropylmethyl cellulose in varying proportions to provide the desired
release profile, other polymer matrices, liposomes and/or microspheres. They may be
sterilized by, for example, filtration through a bacteria-retaining filter. These
compositions may also optionally contain opacifying agents and may be of a composition
that they release the active ingredient(s) only, or preferentially, in a certain portion
of the gastrointestinal tract, optionally, in a delayed manner. Examples of embedding
compositions which can be used include polymeric substances and waxes. The active
ingredient(s) can also be in microencapsulated form.
[0069] Liquid dosage forms for oral administration of the active ingredient(s) include pharmaceutically-acceptable
emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition
to the active ingredient(s), the liquid dosage forms may contain inert diluents commonly
used in the art, such as, for example, water or other solvents, solubilizing agents
and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethylacetate, butyl alcohol,
benzyl benzoate, propylene glycol, glycol, oils (in particular, cottonseed, groundnut,
corn, germ, olive, castor and sesame oils), glycerol, amyl alcohol, tetrahydrofuryl
polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
[0070] Besides inert diluents the oral compositions can also include adjuvants such as wetting
agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming
and preservative agents. Suspensions, in addition to the active ingredient(s),may
contain suspending agents as, for example, ethoxylated alcohols, polyoxyethylene sorbitol
and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite,
agar-agar and tragacanth, and mixtures thereof.
[0071] Formulations of the pharmaceutical compositions of the invention for rectal or vaginal
administration may be presented as a suppository, which may be prepared by mixing
the active ingredient(s) with one or more suitable nonirritating excipients or carriers
comprising, for example, cocoa butter, polyethylene glycol, wax or salicylate and
which is solid at room temperature, but liquid at body temperature and, therefore,
will melt in the rectum or vaginal cavity and release the active ingredient(s). Formulations
of the present invention which are suitable for vaginal administration also include
pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such
carriers as are known in the art to be appropriate.
[0072] Dosage forms for the topical or transdermal administration of the active ingredient(s)
include powders sprays, ointments, pastes, creams, lotions, gels, solutions, patches
and inhalants. The active ingredient(s) may be mixed under sterile conditions with
pharmaceutically-acceptable carrier, and with any buffers, or propellants which may
be required.
[0073] The ointments, pastes, creams and gels may contain, in addition to the active ingredient(s),
excipients, such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth,
cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid,
talc and zinc oxide, or mixtures thereof. Powders and sprays can contain, in addition
to the active ingredient(s), excipients such as lactose, talc, silicic acid, aluminum
hydroxide, calcium silicates and polyamide powder, or mixtures of these substances.
Sprays can additionally contain customary propellants such as chlorofluorohydrocarbons
and volatile unsubstituted hydrocarbons, such as butane and propane.
[0074] Compounds of the present invention may be administered in intranasal form via topical
use of suitable intranasal vehicles, or via transdermal routes, using those forms
of transdermal skin patches well known to those of ordinary skill in the art. A transdermal
delivery system provides for continuous administration throughout the dosage regimen.
Transdermal patches have the added advantage of providing controlled delivery of the
active ingredient(s) to the body. Such dosage forms can be made by dissolving, dispersing
or otherwise incorporating the active ingredient(s) in a proper medium, such as an
elastomeric matrix material. Absorption enhancers can also be used to increase the
flux of the active ingredient(s) across the skin. The rate of such flux can be controlled
by either providing a rate-controlling membrane or dispersing the active ingredient(s)
in a polymer matrix or gel.
[0075] The compounds of the present invention can also be administered in the form of liposome
delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and
multilamellar vesicles. Liposomes can be formed from a variety of phospholipids, such
as cholesterol, stearylamine or phosphatidylcholines.
[0076] Another mode of delivery for the compounds of the present invention may be delivery
via the use of monoclonal antibodies as individual carriers to which the compound
molecules are coupled. The compounds of the present invention may also be coupled
with soluble polymers as targetable drug carriers. Such polymers can include polyvinylpyrrolidone,
pyran copolymer, polyhydroxypropylmethacrylamide-phenol, polyhydroxy-ethylaspartamide-phenol,
or polyethyleneoxide-polylysine substituted with palmitoyl residues. Furthermore,
the compounds of the present invention may be coupled to a class of biodegradable
polymers useful in achieving controlled release of a drug, for example, polylactic
acid, polyglycolic acid, copolymers of polyactic and polyglycolic acid, polyepsilon
caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans,
polycyanoacrylates and crosslinked or amphipathic block copolymers of hydrogels.
[0077] Pharmaceutical compositions of this invention suitable for parenteral administration
comprise the active ingredient(s) in combination with one or more pharmaceutically-acceptable
sterile isotonic aqueous or nonaqueous solutions, suspensions or emulsions, or sterile
powders which may be reconstituted into sterile injectable solutions or dispersions
just prior to use, which may contain antioxidants, buffers, solutes which render the
formulation isotonic with the blood of the intended recipient or suspending or thickening
agents.
[0078] Examples of suitable aqueous and nonaqueous carriers which may be employed in the
pharmaceutical compositions of the invention include water, ethanol, polyols (such
as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures
thereof, vegetable oils, such as olive oil, and injectable organic esters, such as
ethyl oleate. Proper fluidity can be maintained, for example, by the use of coating
materials, such as lecithin, by the maintenance of the required particle size, and
by the use of surfactants.
[0079] These compositions may also contain adjuvants such as wetting agents, emulsifying
agents and dispersing agents. It may also be desirable to include isotonic agents,
such as sugars, sodium chloride, and the like in the compositions. In addition, prolonged
absorption of the injectable pharmaceutical form may be brought about by the inclusion
of agents which delay absorption such as aluminum monostearate and gelatin.
[0080] In some cases, in order to prolong the effect of the active ingredient(s), it is
desirable to slow the absorption of the drug from subcutaneous or intramuscular injection.
This may be accomplished by the use of a liquid suspension of crystalline or amorphous
material having poor water solubility. The rate of absorption of the active ingredient(s)
then depends upon its/their rate of dissolution which, in turn, may depend upon crystal
size and crystalline form. Alternatively, delayed absorption of parenterally-administered
active ingredient(s) is accomplished by dissolving or suspending the active ingredient(s)in
an oil vehicle.
[0081] Injectable depot forms are made by forming microencapsule matrices of the active
ingredient(s) in biodegradable polymers such as polylactide-polyglycolide. Depending
on the ratio of the active ingredient(s) to polymer, and the nature of the particular
polymer employed, the rate of release of the active ingredient(s) can be controlled.
Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides).
Depot injectable formulations are also prepared by entrapping the active ingredient(s)
in liposomes or microemulsions which are compatible with body tissue. The injectable
materials can be sterilized for example, by filtration through a bacterial-retaining
filter.
[0082] The formulations may be presented in unit-dose or multi-dose sealed containers, for
example, ampoules and vials, and may be stored in a lyophilized condition requiring
only the addition of the sterile liquid carrier, for example water for injection,
immediately prior to use. Extemporaneous injection solutions and suspensions maybe
prepared from sterile powders, granules and tablets of the type described above.
[0083] The pharmaceutical compositions of the present invention may also be used in the
form of veterinary formulations, including those adapted for the following: (1) oral
administration, for example, drenches (aqueous or nonaqueous solutions or suspensions),
tablets, boluses, powders, granules or pellets for admixture with feed stuffs, pastes
for application to the tongue; (2) parenteral administration, for "ampule, by subcutaneous,
intramuscular or intravenous injection as, for example, a sterile solution or suspension
or, when appropriate, by intramammary injection where a suspension or solution is
introduced into the udder of the animal via its teat; (3) topical application, for
example, as a cream, ointment or spray applied to the skin; or (4) intravaginally,
for example, as a pessary, cream or foam or any other methods fit to by those of ordinary
skill in the art for administration to a region of interest.
[0084] Although the present invention has been described with reference to certain embodiments,
one skilled in the art will appreciate that the present invention can be practiced
by other than the described embodiments, which have been presented for purposes of
illustration and not of limitation. Therefore, the scope of the appended claims should
not be limited to the description of the embodiments contained herein.
[0085] The general methods given in Schemes 1 and 2 for the preparation of compounds exemplified
in Tables I and II above are further illustrated by the following examples. Specifically,
the methods given in Schemes 1 and 2 for the preparation of 6-alkoxyalkyl Estradiol
compounds are illustrated by Examples 1-5 shown below. An example of assessing the
estrogen receptor binding capacity is articulated in example 4, and finally assessing
the IC
50 of the preferred compounds of the instant invention and their comparative efficacy
is given in example 5. Unless otherwise specified all starting materials and reagents
are of standard commercial grade, and are used without further purification, or are
readily prepared from such materials by routine methods. Those skilled in the art
of organic synthesis will recognize that starting materials and reaction conditions
may be varied to achieve the desired end product.
Example 1 (Comparative)
[0086] Methods of Preparing 6-hydroxymethyl-androsta-1,4-diene-3,17 dione.
[0087] In a reaction system, sufficient amounts of (+)androsta-1,4-diene-3,17-dione (ADD),
12.2 equivalents pyrrolidine, catalytic acietic acid, denatured ethanol (95/5 ethanol/methanol)
and 6-7% tetrahydrofuran (THF) were heated to 30 to 40° C for a minimum of 16 hours
to form 1,3 - dipyrrolidinoandrosta-3,5-diene-17one. Once the ADD content reaches
to a less than 3% by HPLC area, or it becomes static or the resulting dipyrrolidinoandrostadiene
begins to revert to ADD, the reaction mixture is cooled to 5 ± 5° C. The resulting
compound is then collected and washed with cold denatured ethanol. Yields are typically
70-80% on a dry basis with purities typically 90-95% by HPLC area percent.
[0088] The resulting 1,3-dipyrrolidinoandrosta-3,5-diene-17one is then mixed in amount of
1 equivalent, with 2.6 equivalents formalin (formaldehyde) in 10 ml dichloromethane/g
at room temperature. The reaction mixture is then acidified to a pH of about 2 with
2% sulfuric acid solution. Accordingly, an organic layer is formed, which is washed
with 2% sulfuric acid and 1:1 water/brine. Solvent exchange into toluene (approximately
10ml/g) is then carried out wherein the product crystallizes as toluene exchange traspires.
Said product is collected washed and dried to provide 6-hydroxymethyl-androsta-1,4-diene-3,17
dione. One of ordinary skill in the art can further modify the stereochemistry at
position 6, if so desired by employing known techniques in the art.
Example 2
Methods of preparing compound NDC-1022 and NDC-1033
[0089] As outlined in Scheme 2, estradiol derivatives NDC-1022, NDC-1033 were synthesized
in the following manner. The protected estradiol compound 2 is prepared by reaction
of compound 1 with dihydropyran in THF, using toluenesulfonic acid or camphorsulfonic
acid as catalyst. As one of ordinary skill in the art can appreciate this reaction
is an equilibrium reaction and would not go to completion under such conditions. Thus,
both the mono-protected estradiols can be found in the reaction mixture. Such crude
reaction mixture would undergo a trituration step with acetonitrile causing the desired
bis-THP estradiol to crystallize in approximately 70 % yield.
[0090] As shown in Scheme 2, the key intermediate compound 3 is obtained via acylation at
the benzylic 6-position with the strong base mixture referred to as LiDAKOR: butyl
lithium, diisopropylamine, and potassium tert-amylate. Under such conditions at -70
°C, one of ordinary skill in the art can appreciate the abstraction of a proton at
a benzylic position. The intermediate compound 3 is then purified by column chromatography
to give a syrup in approximately 50 % yield, still containing minor impurities and
column solvents. Reduction of the aldehyde with an excess of lithium aluminum hydride
results in high yields of the racemic hydroxymethyl estradiol compound 4 as a glassy
foam.
[0091] For purposes of preparing NDC-1022 and NDC 1033, the methoxymethyl intermediate compound
7 was prepared by methylation of compound 4 with sodium hydride and methyl iodide.
Compound 7 was purified by column chromatography to give a glassy foam. Deprotecting
the protected groups would give racemic 6-methoxymethyl estradiol compound 8. Separation
of the enantiomers was performed using chiral preparative HPLC to give the compounds
NDC-1022 and NDC-1033. For compound NDC-1022, a chiral purity of >95:5 5
R:S was realized. For compound NDC-1033, a chiral purity of 86:14
S:R was realized. It is well within the level of one of ordinary skill in the art to
employ NMR for determination of the absolute stereochemistry of the 6-position, where
the 4-and 6-protons are diagnostic.
Example 3
Methods of preparing NDC-1055 and NDC-1066
[0092] Using the same methodologies described in Example 2, compound 4 is synthesized. Deprotection
of compound 4 was then achieved with catalytic hydrogen chloride in methanol, and
racemic compound 5 was separated on chiral preparative HPLC to give two fractions,
one enriched for NDC-1055 and the other enriched for NDC-1066. For each compound,
chiral purity of >95:5
R:S and
S:R was realized respectively. Absolute stereochemistry of the 6-position was established
by NMR, where the 4-and 6-protons are diagnostic.
Example 4
[0093] Methods of determining estrogen receptor binding capacity using Luciferase activity.
[0094] Estrogen receptor-negative CV-1 kidney cells were maintained in Dulbecco's modified
Eagle's medium with 4.5 g/L glucose supplemented with 10% fetal bovine serum and 100
units / ml penicillin-streptomycin at 37° C in a humidified 5% CO
2 atmosphere.
[0095] The cells were then plated in 6-well dishes at a density of 2 x 10
5 cells per well in phenol-red free Dulbecco's modified Eagle's medium containing 10%
charcoal-dextran-stripped fetal bovine serum. CV-1 cells were transfected using LipofectAMINE
reagent according to the manufacturer's protocol. Transfections containing 1.5 ug
of reporter plasmid (containing ERE-tk-luciferase containing a single ERE cloned upstream
of the thymidine kinase promoter and luciferase gene) and 0.5 ug of either ERa or
ERß expression vector (containing CMV-ERa or CMV-ER
ß full length coding sequence respectively).
[0096] The next day, cells received no treatment (controls) or were treated with estradiol
alone (1 nM) or estradiol plus an Endece compound (at varying concentrations). After
16-24 hours, cells were harvested and assayed for luciferase activity.
[0097] At the outset, cell monolayers were washed twice with ice-cold phosphate-buffered
saline and incubated for 15 minutes in 250 ul of 1X cell culture lysis reagent (Promega,
Madison, WI). Cell extracts were transferred to a fresh tube and assayed using the
luciferase assay system (Promega). For each assay, 10 ul of extract was diluted with
90 ul of 1X cell culture lysis reagent. Luminescence was read using an AutoLumat LB953
luminometer.
[0098] A compound or a salt thereof, which is identified by the binding assay described
herein is a compound that inhibits the binding of estrodial at the ligand binding
site of the estrogen receptors. Specifically, it is a compound or a salt thereof that
is envisioned to cause cell proliferation statasis and accordingly exerts its pharmacological
activity. As indicated in Figure 3 and 4, lead compounds NDC-1022, NDC-1033 exhibit
strong competitive behavior against estradiol in binding to either of the estrogen
receptors thereby causing stasis of cell proliferation activity.
Example 5
[0099] Method of determining the IC
50 values of the candidate compounds. The cell lines listed were maintained at approximately
5% CO
2, 37°C, 95% relative humidity in the media appropriate for that cell line. The cells
were subcultured every two to three days and plated in clear bottom 96-well plates
at a density of 1 x 10
4 cells/well and incubated at ca. 5% CO
2, 37°C overnight prior to initiation of the assay. To begin cell viability assays,
the media in the cell plate (100 µL) was replaced with fresh media (100 µL). The test
articles were serially diluted 1:2 in fresh media in duplicate and added to the cells
(100 µL) at final sample concentrations of 0.46, 1.37, 4.12, 12.35, 37.04, 111.1,
333.3 and 1000 µM (≤ 1% DMSO) in a total volume of 200 µL. Wells containing no cells
and wells containing cells lysed with 0.1% Triton-X were used for baseline controls.
Tamoxifen was used as a known control for each assay and DMSO only will be run as
vehicle control. The samples were incubated at
ca. 37 °C in humidified 5% CO
2 atmosphere for 72 hours. The plate was monitored once a day during the incubation
period, paying special attention to the level of confluence. If the cells approach
confluence prior to the end of the 72 hour incubation period the experiment was terminated
at that time and cell viability measured as described below.
[0100] Cell Viability was determined using a commercially available kit to determine ATP
levels by luminescence. Briefly, the cell plate had the media removed and replaced
with 100 µL of fresh media, and the buffer and lyophilized substrate were equilibrated
to room temperature. The buffer was used to reconstitute the substrate just prior
to addition to the wells of the cell plate (100 µL per well). The plate was placed
into the Infinite M200 plate reader, allowed to shake for 10 minutes followed by a
10 minute wait period, the plate was read using an integration time of 0.5 sec with
no attenuation.
[0101] The mean baseline controls (wells with Triton X-100 or no cells) were subtracted
from the total luminescence to give the net luminescence for that well. This total
was compared to the control of DMSO only. An IC
50 was calculated as the concentration that led to a response of 50% compared to the
vehicle control cells. Figures 5 and 6 depict the results of the tests. Accordingly,
those of ordinary skill in the art can appreciate that the R configuration of the
instantly claimed composition are superior to other stereoisomers.